跨越 8 年的亲密伴侣暴力受害风险因素:创伤后应激症状领域的贡献。

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-05-01 Epub Date: 2023-06-12 DOI:10.1037/tra0001488
Sara F Stein, Maria M Galano, Andrew C Grogan-Kaylor, Hannah M Clark, Alanah Hall, Sandra A Graham-Bermann
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引用次数: 0

摘要

目的:尽管我们对造成女性在不同时期遭受亲密伴侣暴力侵害(IPV)的风险仍有很多未知因素,但创伤暴露和心理健康很可能是其中的一个因素。具体来说,创伤后应激反应(PTS)是导致女性遭受亲密伴侣暴力侵害的一个风险因素,但我们对创伤后应激反应症状域对遭受亲密伴侣暴力侵害风险的独特贡献知之甚少。确定导致 IPV 风险的 PTS 症状域有可能为新的干预目标提供信息:本研究对有子女的妇女(N = 118)进行了长达 8 年的跟踪调查,通过纵向多层次建模来确定导致 IPV 受害风险的创伤暴露、心理健康和社会人口因素:结果:创伤后应激障碍症状水平越高,最初经历的 IPV 受害行为(即 "IPV 受害")就越多。然而,随着时间的推移,创伤后应激障碍症状较重的女性比创伤后应激障碍症状较轻的女性更快地减少了 IPV 伤害行为。创伤后应激障碍唤醒水平和再体验水平越高,最初的 IPV 受害水平就越高。此外,较高水平的创伤后应激反应再体验和唤醒仍然与较高水平的 IPV 受害程度相关。只有当考虑到创伤后应激障碍症状领域时,女性的年龄才会随着时间的推移与IPV受害程度成反比:结论:研究结果表明,将创伤后应激障碍症状归纳为一个整体结构可能过于不精确,无法确定 IPV 受害风险的关键机制。IPV预防应优先解决再体验和唤醒症状,以遏制未来的IPV受害行为。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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Risk factors for intimate partner violence victimization across 8 years: Contributions of the posttraumatic stress symptom domains.

Objective: Although much remains unknown about what creates risk for women's intimate partner violence (IPV) victimization across time, trauma exposure and mental health are likely contributors. Specifically, posttraumatic stress (PTS) is a risk factor for IPV victimization, yet we know less about the unique contributions of PTS symptom domains to IPV risk. Identification of PTS symptom domains that confer risk for IPV has the potential to inform novel targets of intervention.

Method: This study follows women with children (N = 118) across 8 years to identify the trauma exposure, mental health, and sociodemographic factors that contribute to IPV victimization risk using longitudinal multilevel modeling.

Results: Higher levels of PTS symptoms were associated with initially greater number of IPV victimization acts experienced (i.e., "IPV victimization"). However, across time, women with higher PTS symptoms decreased more quickly in IPV victimization than those with lower PTS symptoms. Higher levels of PTS arousal and reexperiencing were each associated with initially higher levels of IPV victimization. In addition, higher levels of PTS reexperiencing and arousal remained associated with higher levels of IPV victimization across time. Women's age was inversely related to IPV victimization over time only when accounting for the PTS symptom domains.

Conclusions: Findings are that collapsing PTS symptoms into an overall construct may be too imprecise to identify key mechanisms for IPV victimization risk. IPV prevention should prioritize addressing reexperiencing and arousal symptoms to curb future IPV victimization. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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